I had the chance to share thoughts on technology, AI, and health care in the Delaware Journal of Public Health, underscoring that we have a lot of work to do to reward technologies that lower the input cost of making people healthy -- rather than technologies that bill more intensively.
New from CBO: year-by-year health coverage effects of the "Big Beautiful Bill." The law kicks 10 million off their health insurance (the difference between the orange and dotted blue line). It also does nothing to address the cliff from the blue to the green, for another 5 million losing coverage.
The "one big beautiful bill," which would leave some 16m uninsured, is making people say some ugly things. Sen. McConnell: "They'll get over it." Sen. Ernst: "Well, we all are going to die." CMS Administrator Oz: "Prove that you matter."
Anthony Wright@awright2care.bsky.social · last yr.“I know a lot of us are hearing from people back home about #Medicaid. But they’ll get over it.” No. No, we won't.
As long as GOPs are cutting Medicaid they figure why not gut Obamacare too talkingpointsmemo.com/news/senate-...
Senate Republicans Take The Attack On Obamacare To A New Level
House Republicans included massive cuts to federal social safety net programs, like...
talkingpointsmemo.com
"...the US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect" -- @mattafiedler.bsky.social www.healthaffairs.org/content/fore...
Taking Stock Of The Health Coverage Impacts Of The House Reconciliation Bill | Health Affairs Forefront
The US uninsured rate has never risen as far, as fast as it will if the House bill and other looming policy changes affecting insurance coverage take effect; the resulting increase would erase almost ...
healthaffairs.org
Interestingly, CBO assumes that where abortion coverage is required, insurers wouldn't get ACA CSR payments and instead continue silver loading. So, in states that require abortion coverage, enrollees would actually get higher premium subsidies paid for by the federal government.
CBO finds the House bill has $1 trillion in health care cuts and increases the uninsured by 16 million (w/other changes). How big is this? Compared to 2017 ACA repeal bills, this is larger than "skinny repeal" and up to two thirds the size of full repeal. Wow. www.brookings.edu/articles/new...
Increasing frequency of eligibility redeterminations, when many states are ill-equipped to use existing data sources to confirm ongoing eligibility, has the same effect: Eligible folks get paperworked out of coverage alongside those who have actually become ineligible.
John Arnold@johnarnoldfndtn.bsky.social · last yr.The policy of work requirements is really a policy of work reporting requirement. This is nuanced distinction but very important. Inevitably, people who are engaged in work will lose healthcare coverage because they failed to properly document or report that activity. This, obviously, is bad. 4/8
I want to emphasize that this is 18,000 avoidable deaths per year *of Medicare enrollees.* They aren't in CBO's "uninsured" count — they're older people and folks with disabilities on Medicare who won't get extra financial help because of a proposed moratorium on a regulation.
Jose Figueroa, MD, MPH@joefigs.bsky.social · last yr.CBO projects that House reconciliation bill will cause 1.38 million low-income Medicare beneficiaries to lose Medicaid coverage We estimate that this will lead to over 18,000 avoidable deaths per year stemming from loss of drug subsidies Link to our memo led by @pennldi.bsky.social: bit.ly/4mwfcDA
Latest House bill text includes another blow to the ACA, ending “silver loading.” That would increase premiums by $350 for a hypothetical family. Here’s why: www.brookings.edu/articles/und...
Understanding Marketplace "Silver Loading"
Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA.
brookings.edu
Does the House GOP reconciliation bill take health insurance away from newborn babies? Why yes, yes it does. If you read nothing else today, read this post from CHIRblog guest authors @jasonlevitis.bsky.social and @clinkeyoung.bsky.social chirblog.org/the-sleeper-...
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
chirblog.org
Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social
The Sleeper Provision in the Reconciliation Bill That Could Hobble the ACA Marketplaces
An obscure provision in the U.S. House reconciliation bill could have major consequences for the Affordable Care Act Marketplaces. In a guest post for CHIRblog, the Urban Institute's Jason Levitis and...
chirblog.org
House Republicans’ plan would take Medicaid from people who can’t meet burdensome work reporting rules, putting up to 14.4 million at risk of losing Medicaid coverage by 2034. State and district level estimates here: www.cbpp.org/research/hea...
Harsh Work Requirements in House Republican Bill Would Take Away Medicaid Coverage From Millions: State and Congressional District Estimates | Center on Budget and Policy Priorities
The House Republican reconciliation legislation currently under consideration in the Energy & Commerce Committee would take away health coverage and leave at least 8.6 million people uninsured as it c...
cbpp.org
NEW at @thebulwark.com Why the Republican Medicaid cuts are even worse than you've heard www.thebulwark.com/p/gop-republ...
The GOP Medicaid Cuts Are a Big F*cking Deal
7.6 million newly uninsured, and that’s not even the whole story.
thebulwark.com
Over the weekend, Congressional Republicans proposed portions of a budget reconciliation package that could make significant changes to Medicaid and the ACA. If passed, nearly 14 million people could become uninsured by 2034. More from @kff.org here: www.kff.org/policy-watch...
How Will the 2025 Budget Reconciliation Affect the ACA, Medicaid, and the Uninsured Rate? | KFF
This analysis details the number of people who would become uninsured from policy changes in the ACA Marketplace and Medicaid. The Congressional Budget Office estimates that, taken together, these cha...
kff.org
Staggering, extreme stuff from Energy and Commerce text this morning. Largest Medicaid cut in history; according to CBO nearly 14 million people become uninsured under this agenda. Heartbreaking and cruel.
You may have heard talk about the reconciliation bill ending Marketplace "silver loading." I wrote about the big middle class premium increases that would cause - hypothetical couple earning $62K per year sees premiums increase by $350 per month. www.brookings.edu/articles/und...
Understanding Marketplace "Silver Loading"
Christen Linke Young explains a new proposal regarding cost-sharing reductions and how it could impact families who get coverage through the ACA.
brookings.edu
Trump administration proposal would be "death by a thousand cuts" for the Affordable Care Act - up to 2M people would lose coverage, millions more would face higher costs. @jasonlevitis.bsky.social @clinkeyoung.bsky.social and I sum it up: georgetown.app.box.com/file/1831720...
Fact Sheet on CMS Marketplace Rule -- Final 4-11-25.pdf | Powered by Box
georgetown.app.box.com
New: ACA enrollment has more than doubled since 2020, with the greatest growth in states won by President Trump. If enhanced premium aid is allowed to expire at the end of this year, those states will see big out-of-pocket premiums hikes and loss of health coverage. www.kff.org/policy-watch...
HHS career staff are truly the best in the business. Brilliant, humble, mission-driven public servants who have come to work everyday -- often for decades -- to hold our patchwork health system together. I'm heartbroken for them, and for the institution they serve.
Looking forward to chatting with some of the very smartest people about prescription drug supply chains next week. Join us! www.brookings.edu/events/the-r...
The role of the US government in drug supply chain reliability
On April 10, Brookings will convene a discussion over the role of the U.S. government in drug supply chain reliability.
brookings.edu
Hi Bluesky! Great to be here from my new seat, as a visiting Fellow @brookings.edu! My first post is up this morning, on why Medicare can and should finalize a policy to promote broad access to "lower cost" drugs on Medicare Part D formularies. www.brookings.edu/articles/med...
Medicare's recent actions to promote access to lower cost drugs
Christen Link Young explores how Medicare has and can continue to promote access to lower cost drugs through proposed CMS reforms.
brookings.edu